NPI | 1063477990 |
---|---|
Former Name | TALITHA GAY ROBINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: DE I3-0001329) |
Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG000728) |
152WV0400X Optometrist, Vision Therapy (Licence: DE I3-0001329) | |
Enumeration Date | 2006-04-20 |
Last Update Date | 2014-03-17 |